Featured Research

from universities, journals, and other organizations

University of Florida Team At Shands Performs Surgical First In North America To Monitor Cardiac Blood Flow In Critical Care Patients

Date:
February 22, 1999
Source:
University of Florida
Summary:
The new method eliminates the need for a separate catheter, drastically reduces medical risks and costs, and will make this crucial monitoring available to approximately 25 percent of the 6 million intensive care patients treated annually in the United States.

GAINESVILLE, Fla.--A University of Florida critical care physician today (2/18/99) used a new method to measure cardiac blood flow in intensive care patients, marking a surgical first in North America that is expected to revolutionize critical care.

Until now, standard practice to gauge cardiac output involved insertion of a catheter into the patient's heart. However, Shands at UF patients now are the first to benefit from an FDA-approved method known as the LiDCO system, a minimally invasive hemodynamic monitoring system. This method eliminates the need for a separate catheter, drastically reduces medical risks and costs, and will make this crucial monitoring available to approximately 25 percent of the 6 millionintensive care patients treated annually in the United States.

The 65-year-old South Florida man who received the hemodynamic monitoring as part of his treatment for an esophagealperforation was listed in stable condition Thursday and is expected to recover fully.

"The FDA approved this method in the United States in January and we are the first to implement it," said Dr. James Gallagher, UF chief of critical care medicine. "The old method was too risky and expensive to use on all the patients who could benefit from it, but now we can offer this vital monitoring method to everyone who needs it."

Hemodynamic (blood circulation) monitoring allows the critical care team to use a patient's existing intravenous line, into which specially trained critical care nurses inject a lithium solution. Advanced computer technology measures the blood's lithium level and displays it on a portable computer. The equipment, created by United Kingdom-basedmedical technology company LiDCO Ltd., was developed at St. Thomas' Hospital in London and has been used in the United Kingdom for three years.

"Shands at UF has an international reputation in the use of advanced critical care technology," said Dr. Terry O'Brien, a medical technology specialist and founding director at LiDCO. "We are excited to work with this skilled intensive care team led by Dr. Gallagher." O'Brien was in Gainesville this week to train intensive care nursing staff to use the special equipment.

"Being trained in this method reinforces our commitment as criticalcare nurses to provide care that promotes patient comfort through the use of cutting-edge technology," said Jeannette Benken, a nurse coordinator in Shands at UF surgical intensive care unit.

The most important data for determining heart and circulatory system function include basic hemodynamic variables of blood pressure, blood flow and vascular resistance. These measurements can be made with existing medical technology, but because of its invasive nature, high cost and necessary skill base, its use is restricted to only a small percentage of the critical care patients in whom these measurementswould be useful.

Gallagher, a UF College of Medicine professor of anesthesiologyand surgery, has practiced at Shands HealthCare's teaching hospital for 18 years. He says hemodynamic monitoring with lithium is accurate, fast, relatively simple and avoids the hazards of pulmonary artery catheterization. According to LiDCO, approximately 10 million critical care patients worldwide will benefit from this method, which currently is approved for adults only.

"The good news for patients is that in our European clinical trials,we recorded no apparent side effects," said O'Brien. "Coupled with itsaccessibility and cost effectiveness, this treatment certainly is a medicalbreakthrough for North America."

----------------------------------------

More information about Shands HealthCare is available at http://www.shands.org

Recent UF Health Science Center news releases: http://www.health.ufl.edu/hscc/index.html

The UF Health Science Center topic/expert list: http://www.health.ufl.edu/hscc/experts.html


Story Source:

The above story is based on materials provided by University of Florida. Note: Materials may be edited for content and length.


Cite This Page:

University of Florida. "University of Florida Team At Shands Performs Surgical First In North America To Monitor Cardiac Blood Flow In Critical Care Patients." ScienceDaily. ScienceDaily, 22 February 1999. <www.sciencedaily.com/releases/1999/02/990219085103.htm>.
University of Florida. (1999, February 22). University of Florida Team At Shands Performs Surgical First In North America To Monitor Cardiac Blood Flow In Critical Care Patients. ScienceDaily. Retrieved September 17, 2014 from www.sciencedaily.com/releases/1999/02/990219085103.htm
University of Florida. "University of Florida Team At Shands Performs Surgical First In North America To Monitor Cardiac Blood Flow In Critical Care Patients." ScienceDaily. www.sciencedaily.com/releases/1999/02/990219085103.htm (accessed September 17, 2014).

Share This



More Health & Medicine News

Wednesday, September 17, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Obesity Rates Steady Even As Americans' Waistlines Expand

Obesity Rates Steady Even As Americans' Waistlines Expand

Newsy (Sep. 17, 2014) Researchers are puzzled as to why obesity rates remain relatively stable as average waistlines continue to expand. Video provided by Newsy
Powered by NewsLook.com
President To Send 3,000 Military Personnel To Fight Ebola

President To Send 3,000 Military Personnel To Fight Ebola

Newsy (Sep. 16, 2014) President Obama is expected to send 3,000 troops to West Africa as part of the effort to contain Ebola's spread. Video provided by Newsy
Powered by NewsLook.com
Obama Orders Military Response to Ebola

Obama Orders Military Response to Ebola

AP (Sep. 16, 2014) Calling the Ebola outbreak in West Africa a potential threat to global security, President Barack Obama is ordering 3,000 U.S. military personnel to the stricken region amid worries that the outbreak is spiraling out of control. (Sept. 16) Video provided by AP
Powered by NewsLook.com
UN: 20,000 Could Be Infected With Ebola by Year End

UN: 20,000 Could Be Infected With Ebola by Year End

AFP (Sep. 16, 2014) Nearly $1.0 billion dollars is needed to fight the Ebola outbreak raging in west Africa, the United Nations say, warning that 20,000 could be infected by year end. Duration: 00:40 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins